If you have US military experience, select your anticipated status at the time of enrollment from the drop-down. Select Not a member of the military if this does not apply.
Academic Infraction
Indicate whether you have ever been disciplined or placed on academic probation while attending an academic institution. If you select Yes, enter a brief explanation in the field provided. Include:
A brief description of the incident
Specific charge made
Related dates
Consequence
A reflection on the incident and how the incident has impacted your life.
License Infraction
Indicate whether you have ever had any certification, registration, license, or clinical privileges revoked, suspended, or in any way restricted by an institution, state, or locality. If yes, enter an explanation in the spaces provided.
Medical School History
Indicate whether you previously attended a medical school or health profession program anywhere in the world, regardless of completion. If you select Yes, enter details about the program.
Period of Non-Enrollment and Unemployment
Indicate if you have been out of school and unemployed for a period of time greater than six months. If you select Yes, enter the dates and an explanation as to what caused this period of non-enrollment and unemployment.
Additional Information
Select your answers to any additional questions. Answering these questions helps programs gather information to develop future recruitment strategies.
OAT PIN
Enter your Optometry Admission Test (OAT) PIN.
COVID-19
Enter your responses to questions related to COVID-19 impact.
